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NPI 1427554021

NPI 1427554021 : CHERI M SCHNEIDER MD : STONE MOUNTAIN, GA

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General NPI Number Information
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    NPI Number           |    1427554021
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    Entity Type          |    Individual 
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    Provider Name        |    CHERI M SCHNEIDER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2018
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    1805 PARKE PLAZA CIR STE 101 
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    City                 |    STONE MOUNTAIN
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    State                |    GA
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    Zip                  |    30087-3646
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    Country              |    US
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    Telephone            |    770-469-7000
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    Fax                  |    770-879-0436
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Provider Business Mailing Address
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    Address Line         |    1805 PARKE PLAZA CIR STE 101 
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    City                 |    STONE MOUNTAIN
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    State                |    GA
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    Zip                  |    30087-3646
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    Country              |    US
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    Telephone            |    770-469-7000
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    Fax                  |    770-879-0436
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    36868
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    License Number State |    GA
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